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Organization
INSTITUTE FOR APPLIED BEHAVIOR ANALYSIS
Active
Organization
INSTITUTE FOR APPLIED BEHAVIOR ANALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ELIZABETH BLACK (CEO)
(310) 649-0499
Entity
Organization
Contact information
Practice address
5777 W CENTURY BLVD STE 675, LOS ANGELES, CA 90045-5632
(310) 649-0499
Mailing address
5777 W CENTURY BLVD STE 675, LOS ANGELES, CA 90045-5632
(310) 649-0499
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-01-0612
CA
103K00000X
Behavior Analyst
1-02-0940
CA
103K00000X
Behavior Analyst
1-09-6511
CA
103K00000X
Behavior Analyst
1-11-7967
CA
103K00000X
Behavior Analyst
1-11-8158
CA
103TC0700X
Clinical Psychologist
Primary
PSY5115
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY24318
CA
Other
Enumeration date
03/28/2012
Last updated
03/31/2021
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